首页|Identification of a NovelEHBP1-METFusion in an Intrahepatic Cholangiocarcinoma Responding to Crizotinib

Identification of a NovelEHBP1-METFusion in an Intrahepatic Cholangiocarcinoma Responding to Crizotinib

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As an aggressive tumor, intrahepatic cholangiocarcinoma (ICC) originates in the epithelium of the bile duct and has a poor prognosis. The therapeutic options for ICC are challenging and limited because of poor response to chemotherapy and the lack of targeted therapy. Here we report on a 41-year-old female patient with ICC withEHBP1-METfusion and multiple intrahepatic metastases responding to crizotinib. Next-generation sequencing-based tumor mutation profiling was performed on the tumor biopsy and circulating tumor DNA from plasma. A novelEHBP1-METfusion was identified and confirmed by Sanger sequencing. Immunohistochemistry of biopsy sample also revealed c-MET positivity. Subsequently, the patient started treatment with MET inhibitor crizotinib. Magnetic resonance imaging scan demonstrated a partial response for 8 months. To the best of our knowledge, this is the first clinical case report of a patient withMET-rearranged ICC successfully treated with crizotinib. This case suggests that crizotinib may be a promising treatment option for patients with ICC withMETfusion, warranting further clinical investigation. Key Points

Intrahepatic cholangiocarcinomaEHBP1-METfusionCrizotinibTargeted therapyNext-generation sequencing

Yu, Yiyi、Liu, Qing、Li, Wei、Qu, Yueting、Zhang, Yihong、Liu, Tianshu

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Fudan Univ, Zhongshan Hosp, Dept Med Oncol, Canc Ctr, 180 Fenglin Rd, Shanghai, Peoples R China

OrigiMed, Shanghai, Peoples R China

2020

The oncologist

The oncologist

ISSN:1083-7159
年,卷(期):2020.25(12)
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